| NPI | 1407535214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES GUSTAVO WISCOVITCH TURNEY President 727-235-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |